| NPI | 1346345972 |
|---|---|
| Other Name | LAKESHORE CLINIC TOTEM LAKE |
| Entity Type | Organization |
| Authorized Contact | LINDA R JEPPESEN CEO 425-485-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-10-11 |